How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $316.23 | Facility | None | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $181.97 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $89.13 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $223.87 | $288.40 |
BCBS Mississippi Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $645.65 | Facility | None | $234.42 | $263.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $173.78 | $275.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $75.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $199.53 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $812.83 | Facility | None | $501.19 | $724.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $165.96 | $234.42 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $56.23 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $501.19 | Professional | TC · Technical part | $120.23 | $173.78 | $501.19 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $158.49 Typical High $199.53 | Professional | 52 · Reduced service | $91.20 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $81.28 | Professional | 53 · Discontinued | $36.31 | $63.10 | $81.28 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 32nd of 51
$288
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.